Meter Swap �
�' Request Number: 15107
Public works Division
Service Request
Problem Address: S 1�9 Horiwn Dr Requested By: Bnyce
Department: WATER Address: No address provided
Problem/7asue: INSTAL,L AMR ME1ER Phone Nnmber: 571-9126
Sc�eduled DaEe: 2017-05-08 �`..� Sc�ednled 11me: 02:00:00
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ACIION NEEDED:
Creat�d by: Wendy Hiatt Date Created: 2017-OS-02
AC'ITON TAKEN:
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Statua: In Progress Snbmitter Has Beea �,
Coutscted
Date Completed: �� g— ,� Completed by: c `
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� City of Fridley r m� ��(
Water Department J V
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocair while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ��� �
Name• 1_Jl v`"`�� Address � (�� 1�� !/ r•
Phone Number ��� v �I O�� Date �r � � " `
Signature Witness Signature '��
OLD METER# � G�aV�L���
OLD READING ��C���� �
NEW METER# � I�w ����
NEW READING O
ERT# ��� I � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line rnnnecting the existing municipal system and arry house or buildir�for which the
application is made,the owner or co�tractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of xhis Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawfut to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water seniice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for aH repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicant,
owner,occupa�t or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or �
root cutting and to maintain the water service curb stop box for operability and at such height as wtll ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 10567
Public Works Division
Service Req�st
Problem Address: 5179 Horiwn Drive Requested By: Bruce Bailiey
Department: WATER Address: No address provided
Problem/Issue: LEAKING METER Phone Number: 612-673-5636
5cheduled Date: Scheduled Time:
ACTION NEEDED:leak at water meter would like someone to call lum about it.
Created by: Julie Horak Date Created: 2015-09-23
ACTION TAI�N:
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Status: Tn Progress Resident Contacted O
Date Completed: Completed by:
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